There are two major issues I think you are asking about here- first, the impact of suboxone and/or narcotics on your pregnancy and secondly, the legal aspects of drug use during pregnancy. Ideally, of course it is healthier for any mother to not be using either narcotics or the drugs used for narcotic abuse during pregnancy, because they both result in withdrawal symptoms at birth in a newborn. However, as far as the law is concerned, in most states it is mandatory to test the baby for drugs at birth and if any come out positive it is usually a mandatory referral to child services. Also they can tell the type of narcotic in the blood on a hospital test. You cannot be reported to child protected services until you have a child. However, if the mother is documented as having been in a program there may be more motivation on the part of social services to work with the mother and child on successful rehab rather than removal of the child. Infants who have withdrawal symptoms at birth will be admitted to an ICU for treatment of their withdrawal, which takes a few weeks, so it would be unlikely that they would discharge the child from the hospital to your care if that is the case, however, children are not automatically taken away from mothers who are drug addicts, especially if they are motivated and stay in a program. If you cannot stay clean without maintenance, you are better off being on maintenance and being honest about it and letting the system work with you instead of trying to work around it. I also don t know if you are receiving medical care for your pregnancy, but your doctor would know more about the legal aspects of reporting and testing in your individual state. I wish you the best of luck in your recovery, and the more negative tests you have for narcotics before the birth will work in your favor.